Stressful to cast the cow, danger of regurgitation in dorsal recumbency

Rest of abdomen cannot be explored

38Replacement Fluids

Isotonic Saline, Lactated Ringers IV to replace deficit

K, Ca salts as needed to correct electrolyte imbalances

Free-choice oral fluids with NaCl, KCl

39Antibiotics???

The Three Ts

Time- how long was the procedure?

Trash- how clean was the surgical site?

Trauma- are tissues damaged?

Also evaluate for other concurrent problems, cost, withdrawal times, route, and ability of agent to reach the tissue

40Risk Factors for LDA

High-production Dairy Cows

High concentrate, low roughage diet

Large body size

Limited exercise

Post-partum

Abomasal Atony

41Questions??? 42References

Dr. Kent Ames

Web references

http//www.ldatogglesuture.com/

http//www.vet.ohio-state.edu/docs/ClinSci/bovine/prevmed/abomasum.htm

http//www.ianr.unl.edu/pubs/dairy/g1201.htm

http//muextension.missouri.edu/xplor/agguides/pests/g07701.htm

Books

Noordsy, John, L. Food Animal Surgery, 3rd ed.

Oehme, Frederick W. Textbook of Large Animal Surgery, 2nd ed.

Smith, Bradford P. Large Animal Internal Medicine.

Turner, McIlwraith. Techniques in Large Animal Surgery, 2nd ed.

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